Table 6.

Boston Carpal Tunnel Syndrome Questionnaire

	1	2	3	4	5
A: Symptom severity scale (11 items)
1 How severe is the hand or wrist pain that you have at night?	Normal	Slight	Medium	Serious	Very serious
2 How often did hand or wrist pain wake you up during a typical night in the past two weeks?	Normal	Once	2-3	4-5	> 5
3 Do you typically have pain in your hand or wrist during the daytime?	No Pain	Slight	Medium	Serious	Very Serious
4 How often do you have hand or wrist pain during daytime?	Normal	1-2 times/d	1 times/d	> 5 times/d	Continued
5 How long on average does an episode of pain last during the daytime?	Normal	< 10 min	10-60 continued	> 60 min	Continued
6 Do you have numbness (loss of sensation) in your hand?	Normal	Slight	Medium	Severe	Very Serious
7 Do you have weakness in your hand or wrist?	Normal	Slight	Medium	Severe	Very Serious
8 Do you have tingling sensations in your hand?	Normal	Slight	Medium	Severe	Very Serious
9 How severe is numbness (loss of sensation) or tingling at night?	Normal	Slight	Medium	Severe	Very Serious
10 How often did hand numbness or tingling wake you up during a typical night during the past two weeks?	Normal	Once	2-3 times	4-5 times	> 5
11 Do you have difficulty with the grasping and use of small objects such as keys or pens?	Without difficulty	Little difficulty	Moderate difficulty	Very difficulty	Very difficult
B: Functional status scale (8 items)
Writing
Buttoning of cloths
Holding a book while reading
Gripping of a telephone handle
Opening of jars
House hold chores
Carrying of grocery basket
Bathing and dressing